Provider Demographics
NPI:1972757581
Name:JURAN, RUPAL SHROFF (MD)
Entity Type:Individual
Prefix:DR
First Name:RUPAL
Middle Name:SHROFF
Last Name:JURAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1165
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1165
Mailing Address - Country:US
Mailing Address - Phone:812-471-1591
Mailing Address - Fax:812-471-6650
Practice Address - Street 1:3922 VENETIAN WAY
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-7958
Practice Address - Country:US
Practice Address - Phone:812-853-3500
Practice Address - Fax:812-853-5229
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01069474207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology